| NPI | 1316237522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 258064) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 258064) |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2015-04-22 |